Download Transmission Based Precautions

Transmission Based Precautions
Aide Memoire
Measures
Contact
Droplet
Airborne
Alert condition
Diarrhoea; oozing wound;
infestation; body fluids
Fever, cough or sneezing
symptoms; influenza-like illness;
vomiting
Severe respiratory illness; high
risk for MDR-TB; measles-like
rash
Organism/disease based
precautions (not complete list)
[See National Infection Prevention
& Control Manual]
Group A Streptococcus; shingles;
rotavirus; C. difficile; MRSA; MDR
bacteriaa
Pertussis; mumps; influenza;
norovirus, RSV, N. meningitidis
MERS-CoV; SARS;
M. tuberculosisc chickenpox-like
rashb; measles-like rashb; noval
influenza viruses including avian
influenza
Staff personal protective
equipment (PPE)
Gloves + apron
Surgical mask + gloves + apron.
Use FFP3 mask for AGPs
FFP3 mask + gloves + apron
Side room
Preferred
If multi-bedded bay: draw curtains
Preferred
If multi-bedded bay: draw curtains
Yes
Negative pressure room required
No
No
Yes, if available
Transport patient with surgical mask
No
Yes
Yes
Exceptions
CPE infected or colonised
patients MUST be isolated
If TB suspected, once MDR-TB
excluded see note belowc
FFP3 respirator must be fit tested.
MERS-CoV: Middle East Respiratory Syndrome-Coronavirus, SARS: Severe Acute Respiratory Syndrome, noval influenza virus including avian influenza.
a MDR bacteria: multi-drug resistant bacteria e.g. Carbapenemase Producing Enterobacteriaceae (CPE), Vancomycin Resistant Enterococcus (VRE),
Extended Spectrum B-lactamase (ESBL) producing bacteria.
b No vaccine offers 100% protection. Respiratory protection should be used to protect from the risk that remains. Staff who are unaware of their IgG immunity
or vaccination history must wear FFP3 a respirator at all times during contact with the patient.
c For non MDR-TB: isolate in single room with contact/droplet precautions. Use FFP3 respirator for Aerosol Generating Procedures (AGPs).
If in doubt contact the Infection Prevention and Control Team (IPCT)
Developed by the Infection Control Network, March 2015